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youve talked a lot about the difference between performance medicine and sick care and Im curious if you could give us a breakdown on what you see as the problems with the conventional Health Care system and then how you define and think about the other lands and approach youre bringing to the table which is performance medicine yeah and I I really didnt understand systems in the human system when I was in medical school um I learned the anatomy of the physiology the biochemistry I learned all about the liver and the heart you know we learned about individual pieces within that but nothing was about creating a a more enjoyable life for people it was all about lets lets postpone that as long as we can but its a stepwise drop that you just try to slow down and uh that didnt go well for me so I ended up going into General and vascular surgery did that for about 10 years but started doing uh what was called back then Age Management medicine where it was the only form of medicine I